 <div class="col-xs-12">
 <div class="widget-box">
				<div class="widget-header widget-header-small">
						<h5>修改学生奖学金申请</h5>
				</div>
                  <div class="widget-body">
					 <div class="widget-main">
                         <form class="form-horizontal" role="form" method="post" action="<?php echo Yii::app()->createUrl('scholarship/teacheradditem');?>">
						           <input type="hidden" name="uId" value="<?php echo $user->uId; ?>">
									<div class="form-group">
										<label class="col-sm-4 control-label no-padding-right" > 选择时间：</label>

										<div class="col-sm-4">
											<select class="form-control" name="term">
																<option value="">&nbsp;</option>
																<option value="第一学期">第一学期</option>
																<option value="第二学期">第二学期</option>
																<option value="第三学期">第三学期</option>
																<option value="第四学期">第四学期</option>
																<option value="第五学期">第五学期</option>
																<option value="第六学期">第六学期</option>
																<option value="第七学期">第七学期</option>
																<option value="第八学期">第八学期</option>
																
										</select>
										</div>
									</div>

									<div class="space-4"></div>
                                   	<div class="form-group">
										<label class="col-sm-4 control-label no-padding-right" "> 选择模块：</label>

										<div class="col-sm-4">
											<select class="form-control" id="form-field-select-1" name="module">
																<option value="">&nbsp;</option>
																<option value="品德行为">品德行为</option>
																<option value="学业表现">学业表现</option>
																<option value="文体综合素质">文体综合素质</option>
																
																
										</select>
										</div>
									</div>

									

									<div class="space-4"></div>

									<div class="form-group">
										<label class="col-sm-4 control-label no-padding-right" for="form-input-readonly"> 详情: </label>

										<div class="col-sm-4">
											<textarea name="detail" col="23" rows="14" class="form-control" id="form-field-8" placeholder="关于这个条目的详细说明"></textarea>
										</div>
									</div>

									<div class="space-4"></div>

									

									<div class="space-4"></div>

									<div class="form-group">
										<label class="col-sm-4 control-label no-padding-right" for="form-field-6">加分OR扣分：</label>

										<div class="col-sm-4">
											<input name="credit" data-rel="tooltip" type="text"  placeholder="学分" title="扣分添加负数，加分添加正数" data-placement="bottom" name="credit">
											<span class="help-button" data-rel="popover" data-trigger="hover" data-placement="right" data-content="请参照下面的表格来填写学分！" title="" data-original-title="亲，您好">?</span>
										</div>
									</div>

									<div class="space-4"></div>

								

									<div class="clearfix form-actions">
										<div class="col-md-offset-5 col-md-4">
											<button class="btn btn-info" type="submit">
												<i class="icon-ok bigger-110"></i>
												提交
											</button>

											
										</div>
									</div>

								
	</form>
	</div>
  </div>	
</div>
